Q and A for Vascular Sonography Registry Exam

THE IMAGE BELOW IS FROM A ROUTINE CAROTID ULTRASOUND. WHICH OF THE FOLLOWING DESCRIBES THE SONOGRAPHIC APPEARANCE OF A TRANSJUGULAR
BASED ON THIS IMAGE, WHAT SHOULD BE DONE NEXT TO EVALUATE THIS PATIENT?
INTRAHEPATIC
PORTOSYSTEMIC SHUNT (TIPS) ?
A) ANECHOIC TUBE WITHOUT DISTINCTIVE WALL REFLECTION THAT CONNECTS THE R.
HEPATIC V. TO THE R. PORTAL V.
B) STRONGLY REFLECTIVE CURVED STRUCTURE CONNECTING THE RIGHT PORTAL VEIN AND
THE RIGHT HEPATIC VEIN
C) SHUNTS ARE NOT EASILY EVALUATED SONOGRAPHICALLY AND CTA IS THE PREFERRED
NORMAL ARTERIAL PPG WAVEFORM = HIGH AMPLITUDE WITH A DICROTIC NOTCH ON THE DOWNSLOPE
METHOD FOR EVALUATION
A SIGNIFICANTLY ABNORMAL ARTERIAL PPG WAVEFORM = LOW AMPLITUDE WITH LOSS OF DICROTIC NOTCH
D) REQUIRES COLOR DOPPLER EVALUATION FOR VISUALIZATION OF THE GRAFT WITHIN THE
LIVER
LE SEGMENTAL PRESSURE EXAM – ALWAYS INCLUDE PATIENT POSITION ON PRELIMINARY REPORT
SYSTOLIC PRESSURE MEASUREMENTS OF THE LE ARE ALSO INCLUDED IN THE PRELIM. REPORT
CALF MUSCLE VEINS: SOLEAL DEEP VEIN DRAINS
INTO THE PTV’S AND THE PERONEAL V.


PTLA = BALLOON ANGIOPLASTY


WHEN REMOVING A PROTECTIVE GOWN:
REMOVE GLOVES FIRST
WASH HANDS LAST
ERFORM A TCD EXAM TO LOOK FOR A BASILAR OBSTRUCTION
VALUATE THE LEFT SUBCLAVIAN ARTERY FOR THE PRESENCE OF MONOPHASIC FLOW
VALUATE THE RIGHT SUBCLAVIAN ARTERY FOR THE PRESENCE OF MONOPHASIC FLOW
ERFORM A TCD EXAM TO LOOK FOR A CONTRALATERAL MCA FOR OBSTRUCTION
CAROTID COMPRESSION: PRESENCE OF COLLATERAL FLOW
CAROTID MASSAGE: REDUCE HEARTRATE AND USED TO
ASSESS THE CAUSE OF SYNCOPE (FAINTING)

IFURCATION OF THE CIA INTO THE IIA AND EIA IS THE SONOGRAPHIC
MARK TO IDENTIFY THE DISTAL END OF THE CIA. THE INGUINAL LIGAMENT
ANATOMIC LANDMARK FOR THE EIA (BUT ISN’T NORMALLY VISUALIZED.)
IA RUNS LATERALLY TO THE INGUINAL LIGAMENT FOLLOWING A STAB WOUND TO THE THIGH, A DUPLEX EXAM
MES THE CIA AS IT CROSSES UNDER THE LIGAMENT DEMONSTRATED A FEMORAL
SES ALONG THE MEDIAL SIDE OF THE PSOAS MUSCLE ARTERY DOPPLER SIGNAL WITH HIGH DIASTOLIC FLOW AND A FEMORAL
DIATELY POSTERIOR TO THE INGUINAL LIGAMENT IS THE CFA/CFV VENOUS SIGNAL WITH PULSATILE CHARACTERISTICS. WHICH CONDITION
IS CONSISTENT WITH THESE FINDING?
AN AV FISTULA
ELL ARTERITIS: USUALLY PRESENTS IN THE CRANIAL ARTERIES/70-80 YRS OLD/ MORE COMMON IN
WHEN PRESENT IN THE CRANIAL A’S = TEMPORAL ARTERITIS BUT CAN PRESENT IN THE EXTREMITIES.
TED WITH ELEVATED ERYTHROCYTE SEDIMENTATION RATE (HOW QUICKLY THE RBC’S FALL TO THE
OF THE SAMPLE) AND ALSO C-REACTIVE PROTEIN LEVELS (CRP)
T CELL ARTERITIS:
YMETRICAL BRACHIAL PRESSURES
UMFERENTIAL HALO OF THICKENED VESSEL WALL TISSUE
REASED WALL VASCULARITY THE COMMON FEMORAL ARTERY VELOCITY IS 0.8 m/s AND THE
PROXIMAL FEMORAL ARTERY DEMONSTRATES ATHEROSCLEROSIS
FOLLOWING IS TRUE REGARDING MAGNETIC RESONANCE ANGIOGRAPHY? FORMATION, CAUSING AN INCREASE IN THE VELOCITY TO 2.2 m/s.
ORE COST EFFECTIVE THAN ULTRASOUND BUT PATIENT LIMITATIONS FOR MRA THIS INDICATES WHAT LEVEL OF STENOSIS?
OPHOBIA AND CONTRAST ALLERGY MAKE U/S THE EXAM OF CHOICE FOR VASCULAR EVALUATION. A) 25%
T IS ALWAYS REQUIRED TO VISUALIZE BLOOD FLOW IN AN MRA EXAM B) 50%
USES RADIATION TO CREATE AN IMAGE DEMONSTRATING TISSUE, BONE, AND BLOOD FLOW C) 75%
AM USES RADIOFREQUENCY WAVES TO CREATE AN IMAGE DEMONSTRATING TISSUE, BONE, AND BLOOD FLOW D) 80-99%